The long-term survival outcomes of radical prostatectomy(RP)in Chinese prostate cancer(PCa)patients are poorly understood.We conducted a single-center,retrospective analysis of patients undergoing RP to study the prog...The long-term survival outcomes of radical prostatectomy(RP)in Chinese prostate cancer(PCa)patients are poorly understood.We conducted a single-center,retrospective analysis of patients undergoing RP to study the prognostic value of pathological and surgical information.From April 1998 to February 2022,782 patients undergoing RP at Queen Mary Hospital of The University of Hong Kong(Hong Kong,China)were included in our study.Multivariable Cox regression analysis and Kaplan–Meier analysis with stratification were performed.The 5-year,10-year,and 15-year overall survival(OS)rates were 96.6%,86.8%,and 70.6%,respectively,while the 5-year,10-year,and 15-year PCa-specific survival(PSS)rates were 99.7%,98.6%,and 97.8%,respectively.Surgical International Society of Urological Pathology PCa grades(ISUP Grade Group)≥4 was significantly associated with poorer PSS(hazard ratio[HR]=8.52,95%confidence interval[CI]:1.42–51.25,P=0.02).Pathological T3 stage was not significantly associated with PSS or OS in our cohort.Lymph node invasion and extracapsular extension might be associated with worse PSS(HR=20.30,95%CI:1.22–336.38,P=0.04;and HR=7.29,95%CI:1.22–43.64,P=0.03,respectively).Different surgical approaches(open,laparoscopic,or robotic-assisted)had similar outcomes in terms of PSS and OS.In conclusion,we report the longest timespan follow-up of Chinese PCa patients after RP with different approaches.展开更多
基金This work was in supported by grants from National Natural Science Foundation of China(grant No.81772741,No.81972405,and No.81972645)Shanghai Youth Talent Support Program,and the Shanghai Sailing Program(22YF1440500)。
文摘The long-term survival outcomes of radical prostatectomy(RP)in Chinese prostate cancer(PCa)patients are poorly understood.We conducted a single-center,retrospective analysis of patients undergoing RP to study the prognostic value of pathological and surgical information.From April 1998 to February 2022,782 patients undergoing RP at Queen Mary Hospital of The University of Hong Kong(Hong Kong,China)were included in our study.Multivariable Cox regression analysis and Kaplan–Meier analysis with stratification were performed.The 5-year,10-year,and 15-year overall survival(OS)rates were 96.6%,86.8%,and 70.6%,respectively,while the 5-year,10-year,and 15-year PCa-specific survival(PSS)rates were 99.7%,98.6%,and 97.8%,respectively.Surgical International Society of Urological Pathology PCa grades(ISUP Grade Group)≥4 was significantly associated with poorer PSS(hazard ratio[HR]=8.52,95%confidence interval[CI]:1.42–51.25,P=0.02).Pathological T3 stage was not significantly associated with PSS or OS in our cohort.Lymph node invasion and extracapsular extension might be associated with worse PSS(HR=20.30,95%CI:1.22–336.38,P=0.04;and HR=7.29,95%CI:1.22–43.64,P=0.03,respectively).Different surgical approaches(open,laparoscopic,or robotic-assisted)had similar outcomes in terms of PSS and OS.In conclusion,we report the longest timespan follow-up of Chinese PCa patients after RP with different approaches.
